Hospitais de pequeno porte e rede de atenção à saúde: um estudo de sua inserção e avaliação em Minas Gerais no período 2004/2014

Abstract

Small-sized hospitals (I-IPP) represent more than half of the hospitals of the Unified Health System distributed throughout the country, according to data from the National Registry of Health Establishments (CNES). Although representative and occupying the agenda of managers in search of strategies for their financial and assistance viability, they face resistance considering the requirements of scope and scale pointed out in the literature. Factors such as the low resolubility and quality of care provided and their inefficiency have as counterpoint the right to access to health and the sociological representation of these hospitals for users, managers and other actors. These themes compose the discussion about the character of problem or solution attributed to this segment of hospitals. Based on a national amplitude study, the aim of this thesis was to analyze the cut-off for all Small-sized Hospitals (HPP) located in Minas Gerais during a decade. In a quantitative study based on the dimensions, attributions and performance of the Small-sized Hospitals (HPP) in the Health Care Network (RAS), the conclusions point to the need to seek alternatives to its sustainability, such as hospitals or redefinition of mission. Indicating strategies that define their place in the State and National Policies of Hospital Attention of the Unified Health System